Graham, Gary F

Graham, Gary F is an individual health care provider with primary practice located at 210 W 300 N , Roosevelt UT 84066-2336. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Graham, Gary F can be contacted via phone (435) 722-6130.

Contact Information

Primary practice address
210 W 300 N Roosevelt UT 84066-2336
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 343506-1205 Utah

Profile Details

NPI number 1811910359
LBN Legal business name Graham, Gary F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated May 11th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811910359 NPPES
Utah MEDICAID 1811910359

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